HomeMy WebLinkAbout08-7303Form 668 (Y)(c)
(Rev. February 20041
244
Department of the Treasury -Internal Revenue Service
irotice of Federal Tax Lien ~~ ~ p_ ~3a 3 F T r.
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903
499078208 • ~9.~D
~~. P~
As provided by section 6321, 6322, and 6323 of the internal Revenue Ck.. /a ?-Q
Code, we are giving a notice that taxes (including interest and penalties) ~ ~ ~ ~ y y 9
have been assessed against the following-named taxpayer. We have made
a demand far payment of this liability, but it remains unpaid. Therefore, n
there is a lien in favor of the United States on all property and rights to ~ ~
property belonging to this taxpayer for the amount of these taxes, and s-? ~ °r~ ~ ~ ~
additional penalties, interest, and costs that may accrue. ~ : ;:~
~ _
~
Name of Taxpayer GH HOLDINGS INC r~ :
- ~'y
~
, '111
Residence 113 0 WATERFORD Y, ~,
~ .~.
CAMP HILL, PA 17011-1229
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by~the date given in column (e), this notice shall,
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
Tax Period Date of Last D for unpaid Balance
Kind of Tax Ending Identiifying Number Assessment Refi~ng of Assessment
(a) (b) (c) (d) e) (f)
CIVP 12/31/2004 52-2339227 10/22/2007 11/21/2017 8655.07
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 8655.07
This notice was prepared and signed at DETROIT, MI
the 04th day of December 2008
on this,
Signature ~ A ~Yy~ Title
ACS 22-00-0008
for MICHAEL W. COX (800) 829-3903
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409)
Part 1 -Kept BY Recording Office Form 668(Y)(c) (Rev. 2-2004)
CAT. NO 60025X